Dr Paul De Vries Rains, DO is a medicare enrolled "Family Medicine" physician in Ellington, Missouri. His current practice location is
350 E Walnut St, Ellington, Missouri. You can reach out to his office (for appointments etc.) via phone at
(573) 663-2571.
Dr Paul De Vries Rains is licensed to practice in Missouri (license number R3M48) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1437152303.
Physician's Profile
| Full Name | Dr Paul De Vries Rains |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 350 E Walnut St, Ellington, Missouri |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1437152303
- Provider Enumeration Date: 05/24/2005
- Last Update Date: 10/03/2011
Medicare PECOS Information:
- PECOS PAC ID: 1153310172
- Enrollment ID: I20040924000684
Medical Identifiers
Medical identifiers for Dr Paul De Vries Rains such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1437152303 | NPI | - | NPPES |
| 597719509 | Medicaid | MO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | R3M48 (Missouri) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Paul De Vries Rains allows following entities to bill medicare on his behalf.
| Entity Name | Fast Track Medical Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1568770626
PECOS PAC ID: 2062693336
Enrollment ID: O20110218000623 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Paul De Vries Rains is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Paul De Vries Rains, DO
350 E Walnut St,
Ellington, MO 63638-7943
Ph: (573) 663-2571 | Dr Paul De Vries Rains, DO
350 E Walnut St,
Ellington, MO 63638-7943
Ph: (573) 663-2571 |
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